Individual
ALIA GOODHEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 NAGOG PARK STE 215, ACTON, MA 01720-3427
(508) 834-3183
(508) 532-1168
Mailing address
4 GARDEN WAY, MAYNARD, MA 01754-1100
(617) 650-3324
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
220407
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2063981
—
MA
01
—
469246
TUFTS
MA
01
—
J27753
BCBS OF MASSACHUSETTS
MA
Enumeration date
08/20/2006
Last updated
02/05/2019
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